Individual
AMANUEL HAILEAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 LANSDOWN CENTER, CVS PHARMACY, ALEXANDRIA, VA 22315
(703) 541-3565
(703) 339-0875
Mailing address
266 KENTUCKY AVE SE # A, WASHINGTON, DC 20003-2318
(703) 629-0760
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202012981
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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